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目的 :探讨多器官功能障碍综合征 (MODS)救治成功率的影响因素。方法 :回顾性分析了 5 2例MODS终末阶段患者的各器官累及率、病死率及器官累及数、年龄、创伤和手术的关系 ,以及选择性采用有机组合的综合治疗的优点和可行性。结果 :本组患者总病死率5 3 8% ,2、 3、≥ 4个器官衰竭的病死率依次为 14 2 %、 41 6 %和 80 7%。 >6 0岁、有创伤和手术者的病死率显著高于 <6 0岁、非创伤非手术病人 ,分别为 6 9 2 %对 48 7%和 5 7 1%对 30 % (P<0 0 1)。结论 :MODS患者采用综合治疗方法合理、有效 ,可以降低病死率。高危病人及时转入加强医疗病房 (ICU)严密监护 ,早期预防、早期诊治可望减少MODS的发病率和病死率。
Objective: To investigate the influencing factors of success rate of multiple organ dysfunction syndrome (MODS). Methods: Retrospective analysis of 52 cases of MODS terminal stage organ involvement rate, mortality and organ involvement, age, trauma and surgery, as well as the selective combination of organic combination of the advantages and feasibility. Results: The total case fatality rate was 53.3% in this group and 14.2%, 41.6% and 80.7% in 2, 3, and 4 organ failure cases respectively. > 60 years old. The mortality rate of trauma and surgery patients was significantly higher than that of patients younger than 60 years (69.2% vs 48.7% vs 57.1% vs 30%, respectively) (P <0 0 1). Conclusion: MODS patients with comprehensive treatment method is reasonable and effective, can reduce mortality. High-risk patients promptly transferred to strengthen the intensive care unit (ICU) monitoring, early prevention, early diagnosis and treatment is expected to reduce morbidity and mortality of MODS.